Individual ProviderJessica TabaresAssistant Behavior AnalystBehavioral Health & Social Service ProvidersPractice Address1010 W 56th St, Hialeah, FL 33012-2343(305) 951-1413PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Tabares does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1497567416Provider TypeIndividualFull NameTabares, JessicaGenderFemaleSole ProprietorYesEnumeration Date1/25/2025Last Updated1/25/2025Contact InformationPractice LocationPractice Address1010 W 56th St, Hialeah, FL 33012-2343Phone(305) 951-1413FaxUnlisted FaxMailing LocationMailing Address1010 W 56th St, Hialeah, FL 33012-2343Phone(305) 951-1413FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106E00000XPrimaryDescriptionAssistant Behavior AnalystBehavioral Health & Social Service ProvidersLicenseT162-420-02-750-0Florida